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This talk has been presented in November 2017: Katarzyna Wac, Connecté Pour Mieux Vivre, Careers and Opportunities Network Cafe titled "Nouvelles Technologies de l'information: En Finir Avec Les Préjugés", University of Geneva, Switzerland, Nov 2017. Thank You for referencing this work, if you find it useful! Reference/Citation for a latest scientific paper related to this talk: Katarzyna Wac, From Quantified Self to Quality of Life, Book Chapter in "Digital Health", Health Informatics, Springer Nature, p. 83-108, Dordrecht, The Netherlands, 2018.

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ABSTRACT- Urinary Tract Infections (UTI) is a major threat to human health. It is caused due to various physiological changes of the urinary tract by the activity of microorganisms. Urinary Tract infections has also been a major type of hospital acquired infection. Hospital acquired infections (HAI) are of various types: Respiratory Tract Infection (RTI), Urinary Tract Infection (UTI), Blood Stream Infection (BSI), and Surgical Site Infection (SSI) and the most common are Urinary Tract (39%) and Respiratory Tract (20-22%) infection. The main aim of this study was to assess various urine samples collected from patients of the ICU of a tertiary care hospital for microbial growth and create a statistical picture on the contribution of UTI to nosocomial infections. Certain governing factors for UTI like presence of pus cells, epithelial cells, and diabetes mellitus were also kept under consideration along with various patient details like age, sex, primary illness and prior antibiotic treatment. The key findings of the study were: the mean age of patients with symptomatic and asymptomatic UTI was 51 years and people from both genders within the age group of 41-60 were equally susceptible. E. coli was the most common causative organism (35.7%) followed by Citrobacter (21.42%) and Klebsiella (14.28%). Other organisms included Pseudomonas, Enterococcus and Candida. The rate of UTI was 56.22/1000 days of catheterization. Most of the organisms isolated were found to be multi drug resistant. UTI has been hence concluded to play a major contribution in nosocomial infections which needs to be controlled by integrating proper monitoring of hospital data and surveillance of hospital acquired urinary tract infection. Key-words- ICU, Urinary Tract Infection, Center for Disease Control, Multi drug resistant, antibiotics, Microorganism

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Running head: DRAFT QUALITATIVE RESEARCH 1 DRAFT QUALITATIVE RESEARCH 2 Draft Qualitative Research Name: Vanessa Noa Institution: Grand Canyon University Draft Qualitative Research Background of the Study The first article talks about UTIs such as epidemiology, mechanisms of infection and the preferences available for the treatment. According to the article, there are indigenous sources of bacteria that cause CAUTI (Flores-Mireles et al., 2015). The contamination comes from the hands that are contaminated from the healthcare experts, meatal and vaginal colonization. The pathogens can pass through intraluminal route, extra luminal route or through the catheter from a bag that is contaminated. Introduction of the objects that are sterile has demonstrated a decrease in threat of bacteriuria in a closed urinary damage. Conversely, studies have demonstrated that bacteriuria can take place through the disruptions in the machines or through the extraluminal path (Flores-Mireles et al., 2015). The other article focuses on reducing the urinary catheter usage and other approaches to avert catheter-connected urinary tract infection. The article provides qualitative highlights of some of the appropriate actions that a doctor must assume while executing the process of catheterization. When undertaking the supplement of the urinary catheter, a skilled professional should take extraordinary safeguards since speedy release of urine from the bladder may lead to hemorrhage. A clam needs to be out after every twenty minutes to permit more release of urine (Meddings et al., 2014). Supporting Nursing Practice The first article on urinary tract infections supports the nursing practice as it touches on the usage of the catheter. According to the article, people who urinate with the help of catheter have elevated risk of contracting UTIs (Flores-Mireles et al., 2015). Example of such group of people may include the people that are hospitalized as well as people who have neurological issues that make it hard to regulate their capacity to urinate and the paralyzed individuals. Having known that, it is important to take the necessary steps to decrease the threat of urinary tract infections. People can drink more liquid particularly water because it aids to dilute urine and confirms that one urinates regularly hence permitting the bacteria to be flushed from the urinary tract before the contamination can start (Flores-Mireles et al., 2015). The next article that touches on the reduction of the urinary catheter usage and other approaches to deter urinary tract infection that are linked to catheter highlights optional approaches that are critical in the healthcare. It is the obligation of the healthcare providers to be aware that catheters may be in place through having catheter reminder intervention.

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1 Running Head: A CLINICAL ISSUE A Clinical Issue Nursing Errors Roberto J Silva Evidence-Based Practice Walden University March 15, 2020 Perfection is not in humans, but at times we commit errors in areas that we should not. Such an environment is a medical setting because we deal with human life, which is very precious and once lost, cannot be recovered. Therefore, I based my clinical issue on a question on why there are errors in the medical field. I found this clinical issue to work hand in hand with the question of what are the adverse effects suffered by patients who are victimized of these nursing errors. How is the severity of the impact experienced by each patient when they bear errors that, as a result of medical officers, in this case, nurses? These articles observed research ethics because they were based on a practical environment, and all participants used for research were aware of the research being conducted. These articles have different objectives, but all of them are concentrated in errors that are manifested in a medical setting by patients due to a nurse's faults of efficiency. The first article, in this case, is based on errors that are committed by nurses in cases of outpatient. The article associates these errors to technological shortcomings, which are as a result of a new method of prescribing outpatient (Matthew E. Hirschtritt, Steven Chan, Wilson O. Ly, Pharm). The second research article uses a more general approach whereby it assesses the general reasons why nurses find themselves committing errors while issuing medication to patients. This research article covers the reasons why these errors are manifested on a regular basis (Midwifery Journal, 2018). The third article that I used for my paper was based on the frequency and severing of adverse effects suffered by patients for a case of nursing errors. To serve the purpose, the article is based on patients who exhibit old age demographic factors (Risk Management Health Policy, 2013). From the fourth research article that I used to assess my clinical issue in question, it was more related to the other three articles. It is also based on the reason for errors that are manifested in a psychiatric setting. In particle, the article focuses on the type and the nature of errors that are prevalent in the psychiatric setting (International Journal for Quality in Health Care, 2010). Each of these research articles uses different methods to mine data and factual information about errors that are prevalent in the medical setting. They range from qualitative methods, quantitative methods, and others are based on mixed methods. The first article that I used for my clinical issue is based on a theoretical approach hence qualitative methodology. The article has an in-depth theoretical explanation of these errors from nurses. The second article is based on a quantitative methodology. Figures collected from participants are analyzed using ANOVA and chi-square tests. The .

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Daylamis Gonzalez Discussion 4 Prepare a 350 word draft of a clinical problem that you would like to use for your Research project. There should be an introduction to the problem (as to why it is a problem) that is documented with literature, a clear problem statement (one declarative sentence that begins with "The problem is...", and a purpose to your project. Post this as your Initial response. (Essential I-IX). The problem is falls among elderly and its relation with their health problems and surrounding environmental factors. Falls are one of the most common problems in the elderly around the world. A fall is defined as an event which results in a person coming to rest inadvertently on the ground or floor or at another lower level. Currently, there is no numerical criterion that classifies people as "elderly." However, the United Nations has determined that the age of 60+ should be used to refer to people as being "elderly. This is in spite of the fact that most developed countries take the chronological age of 65 years to define the ‘elderly. In the United States, falls are a leading cause of morbidity and mortality among mature adults. It is the second leading cause of accidental or unintentional injury/death after road traffic injuries. For example, of the 11 million adults aged 65 years and over living in the UK, around 30% of community-dwelling mature adults fall at least once in their lifetime. It was found in a study conducted in the Eastern Mediterranean Region that 30%–40% of adults older than 65 years residing in the community fall each year. The rates were higher in hospitalized patients and nursing home residents. Moreover, the incidence of falls rose steadily from middle-age onward peaking in persons older than 80 years. Falls may be associated with various contiguous environmental hazards such as carpets and rugs. Most falls (72.8%) occur at home. Women represented 80.2% of fall injury victims. Not surprisingly, perhaps, the most common location for fall injuries in the home is the bathroom (35.7%). Other environmental hazards include poor stairway design and disrepair, inadequate lighting, clutter, slippery floors, unsecured mats, and the lack of nonskid surfaces in bathtubs. There is a paucity of literature on the important topic of falls amongst the elderly in the Kingdom of Saudi Arabia. However, our study will focus on estimating the true extent of falls among the elderly within the community alone and examine the relationship between the health status of elderly people as well as the impact of the environment on their propensity to experience falls. References Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–7 Research Chair of Health Education and Health Promotion, The College of Medicine, HTTPs://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774040 Maritza Leon Urinary Tract Infections in the Elderly Prepare a 350-word dra.

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Running head: ANALYSIS OF LITERATURE REVIEW 1 ANALYSIS OF LITERATURE REVIEW 7 Literature Review Atsede Iyasu NRS-490- 0500- Professional Capstone and Practicum Grand Canyon University 08/11/2019 Analysis of Literature Review Introduction Catheter-associated urinary tract infection (CAUTI) more so in the ICU seems to be an issue that is challenging hospitals and health care centers. Nurses are the healthcare staffs who are responsible for ensuring that patients do not acquire CAUTI in their stay in the ICU (Mody et al., 2015). There are proven techniques and methods identified to be effective at preventing the catheter associated urinary tract infection. One technique that is highly mentioned in the prevention of CAUTI is strict aseptic technique and hand hygiene. The technique can significantly help nurses reduce CAUTI in intensive care units and lessen the health burden of patients in the intensive care unit (Bradley et al., 2018). In order to confirm whether the above-mentioned technique is effective at preventing CAUTI, a literature review was carried out. The review touched on these method as well as other known methods or techniques for preventing CAUTI. A total of eight studies were reviewed. All the reviewed studies were on publications made between 2014 and 2018. It is important that the studies reviewed are not over five years old. The above was important as it ensured only relevant and up-to-date information established from the review. Comment by Shanna Foley: Great introduction. Be sure your thesis discusses the purpose of the current paper, not the purpose of your change proposal. A comparison of the research questions There were three main research questions that were identified in the studies reviewed. The first main research question identified was whether there was an effective scientific method of preventing CAUTI (Purvis et al., 2014). Five of the studies reviewed were interested in answering whether there is a well-known and established medical interventions or scientific interventions that can effectively prevent CAUTI. All the five studies are driven by the hypothesis that CAUTI can be prevented and treated by given medication and it is for the above reason that all the five studies were seeking to confirm whether medical interventions can effectively prevent the infection. The second main research question was what is the role of hospitals or health centers in the acquiring of CAUTI? According to a publication done in 2017 by Theobald and his colleagues, Hospital conditions are the primary reasons that patients acquire CAUTI. The conditions being mentioned above include; general hospital cleanliness practices and the handling of patients. The third main research question identified was whether the method of administering and removing the catheter was the main reason that patients were acquiring CAUTI. Three of the studies reviewed seemed to run on the hypothesis that the main reason that CAUTIs are acquir ...

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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

MedicoseAcademics

These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

Cardiac Output, Venous Return, and Their Regulation

MedicoseAcademics